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MARYANN JOHNSTON FEDACK M.D.
NPI 1194780064
Pediatrics in Alpharetta, GA

Active since April 20, 2006
1111 ALDERMAN DRIVE, STE. 250, ALPHARETTA, GA 30005(678) 527-1555(678) 527-1559 Get Directions Write a Review

NPPES record last updated: June 5, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Maryann Johnston Fedack M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYANN JOHNSTON FEDACK M.D. (NPI 1194780064) is an individual pediatrics provider in Alpharetta, Georgia, licensed in Georgia (54370) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1194780064
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMARYANN JOHNSTON FEDACKCredential: M.D.
Location Address1111 ALDERMAN DRIVE, STE. 250Alpharetta, GA 30005
Mailing Address1111 Alderman Drive, Ste. 250Alpharetta, GA 30005 · (678) 527-1555 · Fax (678) 527-1559
Phone(678) 527-1555
Fax(678) 527-1559
Sole ProprietorNo
Enumeration DateApril 20, 2006
Last NPPES UpdateJune 5, 2018
✔ NPI 1194780064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in GA · 54370✔ Licensed in GA · 057370
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1111 ALDERMAN DRIVE, Alpharetta, GA 30005
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Other Identifiers 1

Medicaid003122405BGA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maryann Fedack's NPI number?

The NPI number for Maryann Fedack is 1194780064. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Maryann Fedack located?

Maryann Fedack practices at 1111 Alderman Drive Ste. 250, Alpharetta, GA 30005. The listed phone number is (678) 527-1555.

What is Maryann Fedack's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Maryann Fedack was last updated on June 5, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.